MEDICARE: FESTUS OLUBANJO ALABI NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	291781	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5019589	NC

General Provider Information

NPI Number	:	1306500996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FESTUS OLUBANJO ALABI NP

Provider Business Mailing Address
First Line	:	350 PEE DEE AVE STE 101
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4945
Country	:	US
Telephone Number	:	866-272-7826
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 PEE DEE AVE STE 101
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4945
Country	:	US
Telephone Number	:	866-272-7826
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	02/19/2026

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